PCM College Placement Form

Name:*

High School:*

Grad Year:*

Primary Instrument:*

GPA:*

Test Scores:*

Advanced Classes:*

Intended College Major:*

Student Email:*

Student Phone:*

Parent Names:*

Parent Email:*

Parent Phone:*

Music: Let us know your preferences and how strongly you feel about these musical issues. If asked to put a number on your response 1 = Lowest; 10 = Highest.

How important is college music? (1-10):

Would you rather play at:

Top conservatory (ie Juliard, The Berklee School) (1-10):

Univ. Conservatory (ie USC, UCLA, Chapman,LB State):

Univ/College Music Department Studies:

Minor in Music (1-10):

Why?:

Do you study Privately and with whom

Do you perform with any HS or District honors ensembles? If yes - which ones :

What is your favorite ensemble (Marching Band,Orchestra,Wind Ensemble, Jazz Band, Other) Pick 2:

If you had a choice to spend some extra time practicing to get better or just hanging out with friends, which would you choose…please be honest:

ACADEMIC: Let us know your preferences and how strongly you feel about these academic issues. If asked to put a number on your response 1 = Lowest; 10 = Highest.

How important are your college academics? (1-10):

What’s more important – academics or music

How important are outside music opportunities in college? (1-10):

If the difference on getting and A or a B+ on a test was an additional 5 hours, would you spend that time studying to get the A or hanging out with friends and taking the B+…please be honest:

SOCIAL: Let us know your preferences and how strongly you feel about these social issues If asked to put a number on your response 1 = Lowest; 10 = Highest.

Big, medium, or small school

Interest in studying abroad? (1-10):

Interest in joining a fraternity/sorority? (1-10):

Importance of living on campus? (1-10):

Willing to attend commuter school (most people live off campus)? (1-10):

Attending a religious school ?(1-10):

Willing to attend a military/service academy? (1-10):

FINANCIAL:

How important is financial aid? (1= Lowest, 10 = Highest):

GEOGRAPHIC: Let us know your preferences and how strongly you feel about attending college in these geographic areas and community settings. If asked to put a number on your response 1 = Lowest; 10 = Highest.

West (CA,OR,WA,ID,NV,UT,WY,MT,HI.AK,CO) (1-10):

Southwest (AZ,NM,TEX,OK,AR) (1-10):

Midwest (ND,SD,NE,KS,MN,WI,IA,IL,MO,MI,IN,OH) (1-10):

South (LA,MS,AL,GA,FL,KY,TN) (1-10):

Mid Atlantic (PA,WV,VA,MD,DE,DC,NJ,NC,SC) (1-10):

Northeast (NY,VT,NH,CT,RI,MA,ME) (1-10):

COLLEGE SETTING:

City (1-10):

Suburban/College town (1-10):

Rural (1-10):

PERFECT COLLEGE MATCH